PRE 2010 DOCSi
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BUILD NG
Village of
PERMIT
Minn. N° 2 R 0 L
Date/� - ...4 .?.......................
Owner Lam....... Builde.......................
Address ®�' . .°�.: ! Address ......................................
LOCATION OF BUILDINyG
No. ... � � ....
... Street sf' . o` ! :'.. .......... `°,Part of Lot .......................
Lot . .... .4.. .... Block ..%3 ............ Addition or Sub -Division 4.... .......... .
� � a
Corner Lot . ... .. Inside Lot ...... Setback rll *. Sideyard''k .............
DESCRIPTION OF BUILDING
To be Used as:
... Front J ... Depth .?'r.Y7... height— .1U...
110 4T Front `f Fy.... Depth . fir... Height
Type of Construction .............. Est COA14--n% ...............
Sq. Ft. �/' Cu. Fi. i.c:.... .
Sq. Ft. , L ` .. Cu. Ft. ........'
To be Completed ....................
Yn consideration of the issuance to me of a permit to construct the building deseri above, T agree to do
the proposed work in accordance with the description above 'spt forth and in compJ46ce with all provisions of
ordinances of the village of Fridley,
in con ' of the payment of a fee of $.1 ... > permit is hereby granted, to ........... .
to construct the building or addition as described above. This pe is gr ted upon
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minhesota regarding location, construction, alteration, maintenance, repair and moving of buildings with-
in the village limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances. 'A Id
Building Inspector
NOTICE:
This permit does not cover the Construction, installation or alteration for wiring, plumbing, gas heating,
sewer or water. Be sure to see the Building Inspector for separate permits for these items.
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SUBJECT
City ®f Fridley
22588
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
I _ COMMUNITY DEVELOPMENT DIV.
I --
`�°
PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BV
�---- �'' 612-571-3450
910-F15
6/6/94
JOB ADDRESS
6340 Washington St NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
5
3
Christie Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Mike Dettle 6240 Washington St NE
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
All -Ways Decks Inc 310 Wexford Heights Dr. New Brighton 55112 636-
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
X
8 DESCRIBE WORK
Cons.truct a 16' x 33' Deck
9 CHANGE OF USE FROM TO
STIPULATIONS
See notations on plan. Provide smoke detectors adjacent to all sleeping
areas and in basement.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
ZONING
SQ. FT.
CU. FT.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
NO. DWLG. UNITS
OFFSTREET PARKING
ANY TIME AFTER WORK IS COMMENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
STALLS GARAGES
VALUATION
SURTAX
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$4,303
$2.15
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
PERMIT FEE
SAC CHARGE
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$ 72.00
Fire SC $4.30
TRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
License SC $5.00
$83.45
W Q LY ID THIS IS YOUR P MI
SI NATURE OFCONTRACTO 0 AUT RI GENT IDATEI
BLDG INSP GATE
SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI
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NEW [ ] Effective l/ 1/94
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 zsi�pl®s-'
Building Permit Application
Construction Address: - (---s Ll 0 (o a-ak E bra kcA
Legal Description:
Owner Name & Address: yl 46C be-- - ff I f- Tel. #
Contractor: Alt -W4!6' ipcc (C S I K�- MN LICENSE # Zu� v
Address: U (,c_)c, o v- W%� r ic, kk Tel. #
Attach to this application, a Certificate of Survey of the 3c+( -
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length_ Width 3 Hgt/Ground �_ Sq. Ft.
OTHER:
Corner Lot (] Inside Lot [ ] Ft. Yd Setback .94te Yard Setbacks f S
Type of Construction: Estimated Cost: $ z=, -
Approx. Completion Date:
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: APPLICANT; 4TeX. #7
CITY USE ONLY
Permit Fee
$
Fee Schedule on Reverse Side
Fire Surcharge
$ e `,
.001 of Permit Valuation (1/10th%)
State Surcharge
$
$.50/$1,000 Valuation
SAC Charge
$
$800 per SAC Unit
License Surcharge
_
$ 5P00
$5.00 (State Licensed Residential Contractors)
Driveway Escrow
$
Alt. "A" or Alt. "B" Above
Erosion Control
$
$450.00 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement Necessary [ ] Not Necessary [ ]
TOTAL
STIPULATIONS:
bias
V.
01
r iV 11
C9 I t 'o (z LJ -L deep
3+,xv Z --i to
All t 1 W Cep' r
S#
Set WA US
NO
Building
$ -63"'_5
BUILDING
Plan Review
Permit No.: ti
Inspections
Fire Surcharge
RESIDENTIAL APPLICATION
.001 times the total job valuation
Received BAb
763-572-3604
.0005 x Permit Valuation Minimum $.50
CITY OF FRIDLEY
$
DatjM: 0200
763-502-4977 FAX
$
$2000 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow
$
ft + 6 ft = ft x $21 = $
EFFECTIVE 1-1-09
$
$450 Conservation Plan Review
DATE " s E
YOUR E-MAIL ADDRESS,00J tkk C S
P �/ d l��C.� 'l
SITE ADDRESS 63 qQ W1, 6- ye ^. P
$
THIS APPLICANT IS:
10bWNER ❑CONTRACTOR
$ '4 0 , IV
PROPERTY OWNER/
NAME: I ' ?
TENANTADDRESSa�
&q0 LJ'e'a.Sh t( �gj� S� CITY 1::1:76 o—i
STATi [_ZIP��_:r?.
PHONE: Iq
CONTRACTOR
Nom:
SUBMIT A COPY OF
YOUR STATE LICENSE
STATE LICENSE # EXP DATE
AND CERTIFICATE OF
ADDRESS: CITY
STATE ZIP
INSURANCE
PHONE FAX
PROPERTY TYPE
SINGLE FAMILY/NEW CONSTRUCTION SIZE
❑ TWO FAMILY/NEW CONSTRUCTION STORIES /
PERMIT TYPE
❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS
❑ BASEMENT FINISH GOOF ❑ DRAIN TILE
❑ DECK ❑ SIDING ❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK:
❑ NEW HOME CONSTRUCTION ❑ ADDITION
❑ MAINTENANCE/REPAIR ❑ REMODELING
DESCRIBE WORK BEING DONE: -we '9 rt``-tvp=-
SIZE OF IMPROVEMENT
LENGTH WIDTH HEIGHT SQ FT
ROOFING ❑ HOUSE ONLY
/7
BASEMENT
REMODELING SUBMIT:
NUMBER OF SQUARES
❑ HOUSE & GARAGE
1. Existing Floor Plan
GARAGES
❑ ATTACHED GARAGE
2.
Proposed floor plan
PROPOSED SIZE:
❑ DETACHED GARAGE
3.
List of structural members to be used
PROPOSED HEIGHT:
SIDING
FOR NEW CONSTRUCTION INCLUDING DECKS,
❑ Vinyl
❑Soffit
ADDITIONS, & PORCHES SUBMIT:
❑ Aluminum
❑ Trim
I.
Site Plan/Survey showing the existing structures
❑ Other
❑ Fascia
and proposed project.
2.
Two sets of construction plans
WINDOWS
3.
Energy Calculations
IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS
OR FOR NEW OPENINGS -DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
fLTCiN(_ TAF 1907 FT R r FFV .QrUFn11T11.F.I
TOTAL JOB VALUATION $ 9J_5 — 6 OCCUPANCY TYPE
Permit Fee
$ -63"'_5
See Back Page for Fee Schedule
Plan Review
$
65% of Building Permit Fee
Fire Surcharge
$ 034
.001 times the total job valuation
Surcharge
$
.0005 x Permit Valuation Minimum $.50
License Surcharge
$
$5.00 (State Licensed Residential Contractors)
SAC Charge
$
$2000 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow
$
ft + 6 ft = ft x $21 = $
Erosion Control
$
$450 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement necessary ( ) Non Necessary ( )
Total Due
$ '4 0 , IV
Make checks Aavable to: Citv of Fridlev Attach Stiaulations
THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a
permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the
approved plan in the case of all work w chuires review and approval of p ans.
SIGNATURE OF APPLICANT U�✓� �1 PRINT NAM�f DATE